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<br />City of Santa Ana <br />Definition Of Claim: <br />Refer to attached policy form <br />Run Off Provisions: <br />Refer to attached policy form <br />Incident/Claim Reporting Provision: <br />Refer to attached policy form <br />Claims Made Disclaimer: <br />Should you elect to change carriers (if a new retroactive date is provided) or non-renew this policy, a supplemental extended <br />reporting endorsement may be available subject to policy terms and conditions. You must request the extended reporting <br />period in writing to the carrier within (60) days of the expiration date. The cost of this extended reporting period is 100%% of <br />the annual premium and is fully earned. The extended reporting period extends only to those claims made during the <br />extended reporting period for wrongful acts that occurred prior to the expiration date and would have been covered by the <br />policy. Claims must be reported to the carrier within (3 Years) days of the end of the policy period. The extended reporting <br />period does not increase the limits of liability and is subject to all policy terms, conditions and exclusions. <br />Endorsements (including but not limited to) <br />The Public Policy – Retained Limit Form – Declarations Page - GPE 10 0002 03 25 <br />Coverage Part A – Public Liability - GPE 00 0001 10 21 <br />Coverage Part B – Public Officials Liability – Occurrence - GPE 00 0003 07 21 <br />Common Policy Conditions - GPE 00 0004 07 21 <br />Schedule of Forms and Endorsements - GPE 07 0001 07 21 <br />Personal Injustices - GPE 00 0006 07 21 <br />Medical Incident Liability Coverage - GPE 04 0003 10 21 <br />Employee Benefits Liability - GPE 04 0011 07 23 <br />Claim Expenses Erode Retained Limit and Limit(s) of Insurance - GPE 24 0012 07 12 <br />Service of Suit Clause - IC 24 0002 01 25 <br />Additional Policy Conditions – Trade Sanctions and Specially Designated Nationals (OFAC) - IL 11 0001 07 22 <br />Signature Page - SGN 90 0001 08 22 <br />TRIA (if accepted): Cap on Losses from Certified Acts of Terrorism - IL 09 0021 01 15 <br />TRIA (if accepted): Disclosure Pursuant to Terrorism Risk Insurance Act - IL 09 85 01 15 <br />Exclusions (including but not limited to) <br />Nuclear Energy Liability Exclusion - GPE 00 0005 07 21 <br />Exclusion – Unmanned Aircraft System - GPE 21 0018 07 21 <br />Total PFAS Exclusion - GPE 21 0044 12 21 <br />Exclusion – Cyber Privacy Event, Cyber Security Event, Data-Related Liability and Interruption or Failure of Services - GPE <br />21 0055 06 22 <br />Exclusion – Recording and Distribution of Material or Information in Violation of Law - GPE 21 0056 04 23 <br />Exclusion – Human Trafficking - IL 24 0005 01 25 <br />TRIA (if accepted): Exclusion – Nuclear, Biological, Chemical or Radiological Acts of Terrorism - IC 21 0006 01 25 <br />TRIA (if accepted): Exclusion of Punitive Damages Related to a Certified Act of Terrorism - IL 09 0026 01 15 <br />TRIA (if rejected): Exclusion – Nuclear, Biological, Chemical or Radiological Acts of Terrorism - IC 21 0006 01 25 <br />11 <br />  <br />  <br />City Council 15 – 15 8/5/2025